| NPI | 1225449184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN YEATTS-PETERSON Owner 802-527-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 0420009181) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |